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LaiswneirI Human <br /> Rel tiolndustry, SOIL AND SITE EVALUATION REPORT <br /> Labor and Human Relations <br /> Division of Safety&Buildings Page in <br /> - in accord with ILHR 83.05,Wis.Adm. Code <br /> 7OUNTY <br /> " <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include,but <br /> dimensioned, north arrow,and location and distance to <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope, scale or <br /> nearest P RCEL I.D. <br /> road. # <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEW 1)BY <br /> DATE <br /> PROPERTY OWNER: L - If_17Y <br /> PROPERTY LOCATION <br /> GOVT.LOT5Z6 , 1/4rj4(/1/ ,S/ T.716N.R/y E(or)W <br /> PROPERTYOWNE MAILI DDRESS v LOT# BLOCK# SUBD.NAM ORCSM# <br /> C ,STATE ZIP CO/IDE PHONE NUMBER <br /> LL �K f -f OEM (71V) ❑CITY ❑VILLAGE OWN NE REST ROAD <br /> New Construction Use D(J Residential/Number of bedrooms <br /> j J Replacement I J Public or commercial describe [ J Addition to existing building X <br /> Code derived daily flow 50 gpd Recommended design loading rate i 2 <br /> Absorption area required 2 56 3 �b� 9 /tt r trench,gpd/ft2 <br /> 69 2 bed,(t trench,ft2 Maximum design loading rate ,7 bed, 2 '� <br /> Recommended infiltration surface elevation(s) / g trench,gpd/tt2 <br /> Additional design/site considerations tt (as referred to site plan be chmark) <br /> Parent material ,s-���- <br /> Flood plain elevation, if appli le_'�J/ tt <br /> S=Suitable for system11 CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRAD <br /> U=Unsuitable fors stem $ ❑U ❑$ U S ❑U SYSTEM IN FILL HOLDING TANK <br /> ❑S U ❑S au ❑S U <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Structure <br /> ... in. Munsell CU.Sz.Cont.Color Texture Gr. Sz. Sh. Consiste ce Boundary Roots GPD/ft <br /> ' Bed Trench <br /> Ground <br /> elev� p <br /> 9 ft. <br /> Depth to <br /> limiting <br /> factor w <br /> Remarks: <br /> Boring If <br /> r.2M71 <br /> r n r O 5 <br /> (+/ <br /> / / i, D <br /> Ground <br /> elev. s <br /> 9 ft. <br /> Depth to <br /> limiting <br /> factor <br /> Remarks: <br /> CST Name:—Please Print KEN SCHMITZ INC. Phone: <br /> dress: <br /> 22835 ScINIIII! III <br /> hmid Lane <br /> Signatur <br /> C c (715) 468 2434 Date: CST Number: <br />_._ - 5' 9' <br />